| NPI | 1003204652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 7322) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 692706) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 340312) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2321628) | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2023-07-27 |